青年冠心病患者经皮桡动脉介入治疗36例临床分析

目的探讨经皮桡动脉入路介入治疗在青年冠心病患者中的应用。方法对36例行经桡动脉途径和40例经股动脉途径行冠脉造影（CAG）及冠脉介入治疗（PCI）的青年冠心病患者的临床资料进行分析。比较两组穿刺时间、X线暴光时间、造影时间、PCI时间、住院时间及血管并发症的发生率。结果 36例患者均首先经桡动脉穿刺,穿刺失败2例,经桡动脉途径行冠脉造影成功率100%（34/34）,行冠脉支架置入成功率76.92%（10/13）,经桡动脉途径失败者改经股动脉途径介入检查及治疗均成功。股动脉组40例患者穿刺成功。其中X线暴光时间、造影时间、PCI治疗时间、血管并发症发生率两组比较无差别意义（P〉0.05）。穿刺时间、住院时间两组比较,差异有统计学意义（P〈0.05）。结论青年冠心病患者选择经桡动脉途径行CAG及PCI是安全的方法,具有创伤小、局部并发症少等优点,值得临床推广应用。

Clinical analysis of 36 young patients with coronary heart disease underwent transradial coronary angiography and interventional therapy

Objective To investigate the application of transradial coronary angiography in young patients with coronary heart disease（CHD）.Methods The clinical data of 36 young patients with CHD underwent transradial coronary angiography（CAG） and percutaneous coronary intervention（PCI） and 40 young patients with CHD underwent CAG and PCI via the femoral artery approach as a control group were analyzed,The indicators of puncture time,CAG time,PCI time,x-ray exposure time,hospitalizationl time,vascular complication rates associated with puncture were compared.Results The transradial puncture was first performed on 36 cases and two cases failed.The success rate of transradial CAG was 100%（34/34）,the success rate of coronary stenting was 76.92%（10/13）,the femoral artery interventional examination and treatment of those failed in transradial intervention were all sucessful.Those in the control group were all successfully treated.There was no significant differences in CAG time,PCI time,and x-ray exposure time,vascular complication rates between two groups respectively（P0.05）.There were significant differences in hospitalization time and puncture time between the two groups（P0.0）.Conclusions Young patients with CHD underwent transradial CAG and PCI is a safe method with less trauma,fewer local complications,and thus worthy of clinical application.